Provider Demographics
NPI:1669691606
Name:GENTLE BEGINNINGS MIDWIFERY CARE, LLC
Entity type:Organization
Organization Name:GENTLE BEGINNINGS MIDWIFERY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHRER
Authorized Official - Suffix:
Authorized Official - Credentials:LDM, CPM
Authorized Official - Phone:541-758-6010
Mailing Address - Street 1:712 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-5937
Mailing Address - Country:US
Mailing Address - Phone:541-758-6010
Mailing Address - Fax:
Practice Address - Street 1:712 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-5937
Practice Address - Country:US
Practice Address - Phone:541-758-6010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR218161Medicaid